| Lytle Family Dentistry & Orthodontics | |
|
14739 Main Street Lytle TX 78052 | |
| (830) 772-4567 | |
| (830) 772-9804 |
| Full Name | Lytle Family Dentistry & Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14739 Main Street, Lytle, Texas |
| Authorized Official Name and Position | Justin Jay Crocker (DENTIST) |
| Authorized Official Contact | 8307724567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lytle Family Dentistry & Orthodontics 14739 Main Street Lytle TX 78052 Ph: (830) 772-4567 | Lytle Family Dentistry & Orthodontics 14739 Main Street Lytle TX 78052 Ph: (830) 772-4567 |
| NPI Number | 1427730357 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427730357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |